HALL PASS MEMBERSHIP

Please fill out the information below (all fields with a * are required) to make your membership donation. Your donation is 80% tax-deductible.

$1,000: Hall Pass Membership One-Time Payment

Salutation

First Name*

Name as you wish it to appear on your Membership Card*

Last Name*

Address*

City*

State

Country

Zip*

Phone*

Email*

Confirm Email*

Please sign me up for your e-newsletter

Payment Info

Acknowledgement

For all donations, please list your name(s) as you would like it to appear in our program listings (separated by commas)

Name(s) to acknowledge

I would like this donation to remain anonymous

Dedication Information (Optional)

Dedication Type

Dedication Honoree Name

Dedication Personal Note

Dedication Acknowledgment Information

Acknowledge by

First Name

Last Name

Address

Other Ways to Give

Become a HALL PASS MEMBER by making a monthly gift of $100

Give by Phone:
You can make a gift by calling:
504-309-2123

You can also give by printing this form and mailing to:
Presevation Hall Foundation
321 Burgundy Street #130
New Orleans, La 70117

For More Information Contact:
Ashley "AG" Graham
ag@preshallfoundation.org